Organization
KODA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH COOK LMHC (MANAGING MEMBER)
(317) 207-0765
Entity
Organization
Contact information
Practice address
1475 W OAK ST UNIT 811, ZIONSVILLE, IN 46077-2040
(317) 207-0765
Mailing address
1475 W OAK ST UNIT 811, ZIONSVILLE, IN 46077-2040
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
11/13/2023
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